Individual
DR. CHRISTINA SUZANNE PREUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4000
(260) 482-4442
Mailing address
3640 NEW VISION DRIVE, SUITE A, FORT WAYNE, IN 46845-1717
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01065396A
IN
207P00000X
Emergency Medicine Physician
4301085532
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301085532
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000577323
ANTHEM BLUE CROSS BLUE SHIELD
—
Enumeration date
06/06/2007
Last updated
04/18/2013
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